Questions. Question Group Welcome to the CROWNWeb Facility Quiz! If you require a screen reader compatible PDF of this quiz,

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1 Facility Quiz

2 Questions Question Group 1 1. Welcome to the CROWNWeb Facility Quiz! If you require a screen reader compatible PDF of this quiz, click here. If not, click Next and let's get started. 2. How long will CROWNWeb allow you to remain inactive before it times out? (Multiple, 0 points, 1 attempt permitted)

3 Correct 24 minutes 10 minutes 14 minutes 20 minutes Feedback when correct: That's right! After 9 minutes of not clicking a button or link in CROWNWeb, a pop-up window will display that you can click on to start the clock over for another 14 minutes. Feedback when incorrect: Sorry, that's not correct. After 9 minutes of not clicking a button or link in CROWNWeb, a pop-up window will display that you can click on to start the clock over for another 14 minutes.

4 3. The CMS-2744 supporting reports are used as back-up information to ensure the on the facility's survey form balance. (Multiple, 0 points, 1 attempt permitted) Correct Patient names CMS requirements Counts Clinical information Feedback when correct: That's right! The CMS-2744 supporting reports are used as back-up information to ensure the counts on a facility's survey form balance.

5 Feedback when incorrect: Sorry, that's not correct. The CMS-2744 supporting reports are used as back-up information to ensure the counts on a facility's survey form balance. 4. In addition to using the Calendar tool, you can manually type in a date in a date field. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! You can either use the Calendar tool to select a date, or just type the date into the date field. Remember--you don't even have to enter slashes! "01/01/2012" can be entered as " "

6 Feedback when incorrect: Sorry, that's not correct. You can either use the Calendar tool to select a date, or just type the date into the date field. Remember--you don't even have to enter slashes! "01/01/2012" can be entered as " " 5. You discharged patient Tom Smith on November 1 as Discontinue. On November 15, you find out that Mr. Smith has passed away. Who is responsible for entering the CMS-2746 Death Notification Form for Mr. Smith? [Drag answer to clear bubble] (Word Bank, 0 points, 1 attempt permitted) Correct Your facility The Network The patient's family None of the above

7 Feedback when correct: That's right! Your facility is responsible for entering a CMS-2746 Form for any patient who expires within 30 days from the date of Discontinue. You would enter the Date of Death and Cause of Death in the patient's attributes; but do not change the discharge reason to Death. Feedback when incorrect: Sorry, that's not correct. Your facility is responsible for entering a CMS-2746 Form for any patient who expires within 30 days from the date of Discontinue. You would enter the Date of Death and Cause of Death in the patient's attributes; but do not change the discharge reason to Death. 6. A list of admissions and discharges for a patient that is currently admitted to your facility can be viewed at any time by a CROWNWeb facility user. (True/False, 0 points, 1 attempt permitted)

8 Correct True False Feedback when correct: That's right! Yes, a CROWNWeb facility user can view Admit/Discharge records for any patient that is currently admitted to your facility. Feedback when incorrect: Sorry, that's not correct. A CROWNWeb facility user can view Admit/Discharge records for any patient that is currently admitted to your facility. 7. How does the Common Lab Test Date field work? (Multiple, 0 points, 1 attempt permitted)

9 Correct Makes the date appear in a drop-down box. Enters the date in every single field on the page automatically BEFORE you start entering data. Designates holidays for the facility. Automatically enters the date in a date field AFTER you have entered the lab data for that field. Feedback when correct: That's right! The Common Lab Test Date field automatically enters the date in a date field AFTER you have entered the lab data for that field, saving you data entry time. Feedback when incorrect: Sorry, that's not correct. The Common Lab Test Date field automatically enters the date in a date field AFTER you have entered the lab data for that field, saving you data entry time. 8. All facility personnel need to be added to the Personnel section in CROWNWeb. (True/False, 0 points, 1 attempt permitted)

10 Correct True False Feedback when correct: That's right! Only key personnel (e.g., Medical Director, Facility Administrator, Head Nurse, Social Worker, Dietitian, etc.) should be entered in CROWNWeb, along with physicians who will be signing CMS-2728 Forms, attending physicians, and anyone completing CMS-2746 Forms. Feedback when incorrect: Sorry, that's not correct. Only key personnel (e.g., Medical Director, Facility Administrator, Head Nurse, Social Worker, Dietitian, etc.) should be entered in CROWNWeb, along with physicians who will be signing CMS-2728 Forms, attending physicians, and anyone completing CMS-2746 Forms.

11 9. If you get the message that a Near Match that is out of your scope has been found, you need to contact your Network in order to admit that patient. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! Anytime a Near Match out of your scope exists, you will need to contact your Network to admit the patient. Feedback when incorrect: Sorry, that's not correct. Anytime a Near Match out of your scope exists, you will need to contact your Network to admit the patient.

12 10. If a patient has multiple entries for a clinical field in a single month, which of the entries will be used for the clinical calculation? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted) Correct The BEST entry of the month. The FIRST entry of the month. It will be randomly selected. The LAST entry of the month. The WORST entry of the month. Feedback when correct: That's right! In CROWNWeb, the LAST entry of the month will be used for all clinical calculations, if multiple entries exist for any month.

13 Feedback when incorrect: Sorry, that's not correct. In CROWNWeb, the LAST entry of the month will be used for all clinical calculations, if multiple entries exist for any month. 11. It is recommended that physicians and patients sign the CMS-2728 Form in blue ink to help prove that it is an original. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! It is recommended that the ink color on the CMS-2728 Form is blue (or any other color that is not black) so that the Social Security Administration knows that it is not a copy.

14 Feedback when incorrect: Sorry, that's not correct. It is recommended that the ink color on the CMS-2728 Form is blue (or any other color that is not black) so that the Social Security Administration knows that it is not a copy. 12. In CROWNWeb, a staff member can be associated with more than one facility. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! Staff members can be associated with multiple facilities in CROWNWeb.

15 Feedback when incorrect: Sorry, that's not correct. Staff members can be associated with multiple facilities in CROWNWeb. 13. What role is allowed to read (view) information for a facility? (Multiple, 0 points, 1 attempt permitted) Correct Facility Administrator Facility Editor Facility Viewer All of the above

16 Feedback when correct: That's right! Everyone of these roles has the ability to read (view) data in CROWNWeb. Feedback when incorrect: Sorry, that's not correct. Everyone of these roles has the ability to read (view) data in CROWNWeb. 14. The symbol represents the "Wild Card" in CROWNWeb. (Fill in the Blank, 0 points, 1 attempt permitted) % percent

17 Feedback when correct: That's right! The percent (%) symbol is the "Wild Card" used to help perform searches in CROWNWeb. Feedback when incorrect: Sorry, that's not correct. The percent (%) symbol is the "Wild Card" used to help perform searches in CROWNWeb. 15. What must you do to have a new physician's name display in the drop-down lists in CROWNWeb? [Move correct answer to blank oval] (Word Bank, 0 points, 1 attempt permitted) Correct Contact your Facility Administrator. Add the physician as a Nephrologist in the Facility Personnel section. Call the QualityNet Help Desk. Log out of CROWNWeb and then log-in again.

18 Feedback when correct: That's right! Once you add any staff member to CROWNWeb, their name will immediately display in the appropriate drop-down selection lists (e.g., Attending Practitioner or Person completing this form fields). Feedback when incorrect: Sorry, that's not correct. Once you add any staff member to CROWNWeb, their name will immediately display in the appropriate drop-down selection lists (e.g., Attending Practitioner or Person completing this form fields). 16. A signed and dated hard copy of the CMS-2746 Form needs to be submitted to the Social Security Administration. (True/False, 0 points, 1 attempt permitted) Correct True

19 False Feedback when correct: That's right! Only the CMS-2728 Form, which entitles patients to Medicare benefits based on ESRD, must be signed and submitted to the Social Security Administration. Feedback when incorrect: Sorry, that's not correct. Only the CMS-2728 Form, which entitles patients to Medicare benefits based on ESRD, must be signed and submitted to the Social Security Administration. 17. The PART feature of CROWNWeb replaced the report. (Fill in the Blank, 0 points, 1 attempt permitted)

20 PAR NPAR Patient Activity Report Patient Activity patient activity Feedback when correct: That's right! The PART feature of CROWNWeb replaced the PAR (or NPAR) report. Feedback when incorrect: Sorry, that's not correct. The PART feature of CROWNWeb replaced the PAR (or NPAR) report. 18. When entering patient clinical data, if you get a warning message that a field is outside of the normal/expected range, you can click a checkbox to confirm that the entered data is correct, then Submit again. (True/False, 0 points, 1 attempt permitted)

21 Correct True False Feedback when correct: That's right! Warning messages are different from Error messages. If the information that you are getting the warning for is truly correct, you just need to check the box to confirm, and re-submit. Feedback when incorrect: Sorry, that's not correct. Warning messages are different from Error messages. If the information that you are getting the warning for is truly correct, you just need to check the box to confirm, and re-submit. 19. Whenever a patient has a physician-prescribed treatment change, you will need to: (Multiple, 0 points, 1 attempt permitted)

22 Correct Enter a new treatment record for that patient in CROWNWeb. Edit the current treatment record for that patient in CROWNWeb. Have the physician decide if a new treatment record needs to be added in CROWNWeb. Contact the Network to edit the current treatment record for that patient in CROWNWeb. Feedback when correct: That's right! Whenever a patient has a prescribed change to their modality, treatment, or attending practitioner, you must enter a new treatment record in CROWNWeb to reflect that change. Feedback when incorrect: Sorry, that's not correct. Whenever a patient has a prescribed change to their modality, treatment, or attending practitioner, you must enter a new treatment record in CROWNWeb to reflect that change.

23 20. Other facilities can view a detailed list of ALL personnel that work at your facility, including their home addresses, addresses, and phone numbers. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! While you can view general facility information for other facilities, you will not be able to view detailed information for the staff members of that facility. Feedback when incorrect: Sorry, that's not correct. While you can view general facility information for other facilities, you will not be able to view detailed information for the staff members of that facility.

24 21. What is the number one reason why a facility should set-up their default preferences? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted) Correct It is a requirement for an open facility. Your list of Nephrologists will display on drop-down menus. Your list of staff members will display on drop-down menus. It makes entering clinical information easier.

25 Feedback when correct: That's right! While there are a number of reasons why you should setup default preferences, the main reason is that doing do will save you time from having to select that information every single time you enter data. Feedback when incorrect: Sorry, that's not correct. While there are a number of reasons why you should set-up default preferences, the main reason is that doing do will save you time from having to select that information every single time you enter data. 22. Match the Notification Action Type with its correct description: [Move the right column puzzle piece to the correct Action Type on the left] (Matching Drag and Drop, 0 points, 1 attempt permitted) Correct Accept Reject You agree; the patient is part of your facility and changes are made. After research, you do not agree and no

26 changes are made. Investigate Escalate You're looking into the discrepancy and research is in progress. The patient is not part of your facility. Reassign to the Network. Feedback when correct: That's right! You matched the correct responses. Feedback when incorrect: Sorry, that's not correct. Accept=You agree; the patient is part of your facility and changes are made. Reject=After research, you do not agree and no changes are made. Investigate=You're looking into the discrepancy and research is in progress. Escalate=the patient is not part of your facility. Reassign to the Network. 23. Based on the errors found after creating and saving the CMS-2744 Form (End of Year Facility Survey), the user will need to research the errors and (Multiple, 0 points, 1 attempt permitted)

27 Correct Update facility personnel. Correct clinical information for those patients with errors. Add patients who are not associated with a facility. Correct the counts in the patient records. Feedback when correct: That's right! Based on the errors found after creating and saving the CMS-2744 Form, the user will need to research and correct the counts in the patient records. When all counts have been corrected, come back to CROWNWeb and re-generate the CMS-2744 Form. Feedback when incorrect: Sorry, that's not correct. Based on the errors found after creating and saving the CMS-2744 Form, the user will need to research and correct the counts in the patient records. When all counts have been corrected, come back to CROWNWeb and re-generate the CMS-2744 Form.

28 24. You should enter as much information as possible when admitting a new patient in CROWNWeb. (True/False, 0 points, 1 attempt permitted) Correct True False Feedback when correct: That's right! You should enter as much information as possible when admitting a new patient because fields that are not marked as required on the patient attributes screen may end up being required when you complete the CMS-2728 Form for that patient. Feedback when incorrect: Sorry, that's not correct. You should enter as much information as possible when admitting a new patient because fields that are not marked as required on the

29 patient attributes screen may end up being required when you complete the CMS-2728 Form for that patient. 25. The clinical information entry period for the previous month has just closed, and you still have data you need to enter. Can you still submit clinical information for that month? (Multiple, 0 points, 1 attempt permitted) Correct Yes, there is a 30-day grace period to enter clinical data. No, once a month has closed you cannot enter clinical data. Contact your Network and they can re-open the fields for the previous month's data.

30 Feedback when correct: That's right! After CMS has closed a month [you will see "(Closed)" after the month], CROWNWeb will not allow you to enter clinical data for that month. Feedback when incorrect: Sorry, that's not correct. After CMS has closed a month [you will see "(Closed)" after the month], CROWNWeb will not allow you to enter clinical data for that month. 26. If a staff member who has signed a CMS form leaves your facility, you can delete his/her record from CROWNWeb. (True/False, 0 points, 1 attempt permitted) Correct True False

31 Feedback when correct: That's right! You cannot delete former employees who are affiliated with patient data in CROWNWeb. As long as that staff member is not linked to another facility in CROWNWeb, you can check the "Inactive Record" check box. Feedback when incorrect: Sorry, that's not correct. You cannot delete former employees who are affiliated with patient data in CROWNWeb. As long as that staff member is not linked to another facility in CROWNWeb, you can check the "Inactive Record" check box. 27. When you first log-in to CROWNWeb and your facility is new to the system, what information must you verify and enter (if necessary) for your facility? (Multiple, 0 points, 1 attempt permitted) Correct DBA Name and address Phone and FA numbers

32 Days of the Week and Hours of Operation All of the above Feedback when correct: That's right! When your facility is new to CROWNWeb, make sure that all of the demographic information for your facility is entered and is correct. Feedback when incorrect: Sorry, that's not correct. When your facility is new to CROWNWeb, make sure that all of the demographic information for your facility is entered and is correct. 28. You can let another staff member use your CROWNWeb login and password as long as they work at your facility. (True/False, 0 points, 1 attempt permitted)

33 Correct True False Feedback when correct: That's right! User IDs and passwords are not to be shared with anybody! Giving out your user ID and/or password is a violation of CMS security policies. Feedback when incorrect: Sorry, that's not correct. User IDs and passwords are not to be shared with anybody! Giving out your user ID and/or password is a violation of CMS security policies. 29. What is the main function of the PART feature in CROWNWeb? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted)

34 Correct Allows you to maintain a list of personnel. Allows you to print a patient roster report. Allows you to verify patient admission status, modality, and attending physician in CROWNWeb. Allows you to print all clinical information for a patient. Feedback when correct: That's right! The PART feature allows you to verify patient admission, modality, and attending physician without submitting a paper form to your Network. Feedback when incorrect: Sorry, that's not correct. The PART feature allows you to verify patient admission, modality, and attending physician without submitting a paper form to your Network. 30. What symbol is used to indicate that a field is required? [Type correct answer in box] (Fill in the Blank, 0 points, 1 attempt permitted)

35 * asterisk Asterisk Feedback when correct: That's right! Fields that are required by CROWNWeb will be marked with an asterisk (*). Just remember that some fields that may be required later on will not be marked with an asterisk. Enter as much information as you can now! Feedback when incorrect: Sorry, that's not correct. Fields that are required by CROWNWeb will be marked with an asterisk (*). Just remember that some fields that may be required later on will not be marked with an asterisk. Enter as much information as you can now!

36 31. You are entering a patient in CROWNWeb, but CROWNWeb has determined that a similar patient already exists in the system. What is the proper term for this situation? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted) Correct Close Match Near Match Exact Match Relative Match Feedback when correct: That's right! When two or more key attributes match a patient already in CROWNWeb, that's called a Near Match.

37 Feedback when incorrect: Sorry, that's not correct. When two or more key attributes match a patient already in CROWNWeb, that's called a Near Match. 32. How often must facilities verify their PART data? (Multiple, 0 points, 1 attempt permitted) Correct Weekly At least once per month Yearly Never

38 Feedback when correct: That's right! Facilities must review their PART data at least once per month. Feedback when incorrect: Sorry, that's not correct. Facilities must review their PART data at least once per month. 33. When is the one time you would delete a clinical record for a patient? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted) Correct The patient is a Transient. If it is determined you have entered the wrong clinical information. The values are outside the normal range.

39 Feedback when correct: That's right! The only time you would delete a clinical record for a patient is if it is determined that you have entered the wrong clinical information (e.g., the data was for another patient). Feedback when incorrect: Sorry, that's not correct. The only time you would delete a clinical record for a patient is if it is determined that you have entered the wrong clinical information (e.g., the data was for another patient). 34. A signed and dated original hard copy of the CMS-2728 must still be submitted to the Social Security Administration. (True/False, 0 points, 1 attempt permitted) Correct True False

40 Feedback when correct: That's right! While CMS-2728 data is submitted to the ESRD Network and CMS electronically, the Social Security Administration still requires a signed hard-copy of the original CMS-2728 Form to authorize benefits for a patient. Feedback when incorrect: Sorry, that's not correct. While CMS-2728 data is submitted to the ESRD Network and CMS electronically, the Social Security Administration still requires a signed hard-copy of the original CMS-2728 Form to authorize benefits for a patient. 35. If you don't have all the data for the minimum required clinical fields, what should you do? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted) Correct You will be allowed to enter the available lab values.

41 You must have all required values before you can submit clinical data. Enter "dummy" characters (such as asterisks), to fill in the fields you don't have data for. Feedback when correct: That's right! You must have values selected in all required fields before you can submit clinical data. In the CROWNWeb HD and PD screens, there are approximately 12 required fields. In Vascular Access, any active field is required. Feedback when incorrect: Sorry, that's not correct. You must have values selected in all required fields before you can submit clinical data. In the CROWNWeb HD and PD screens, there are approximately 12 required fields. In Vascular Access, any active field is required. 36. Who fills out the CMS-2746 Form when a patient passes away in transient status? (Multiple, 0 points, 1 attempt permitted)

42 Correct The visiting facility The home facility The Network None of the above Feedback when correct: That's right! The home facility must fill out the CMS-2746 when one of their patients passes away while in transient status. Feedback when incorrect: Sorry, that's not correct. The home facility must fill out the CMS-2746 when one of their patients passes away while in transient status. 37. You can edit counts manually on the CMS-2744 report form in CROWNWeb, the same as in the Treatment and Staff section. (True/False, 0 points, 1 attempt permitted)

43 Correct True False Feedback when correct: That's right! Only the Treatment and Staff section of the CMS-2744 form can be edited manually in CROWNWeb. To correct the other counts, patient records must be edited, if necessary. Feedback when incorrect: Sorry, that's not correct. Only the Treatment and Staff section of the CMS-2744 form can be edited manually in CROWNWeb. To correct the other counts, patient records must be edited, if necessary. 38. Which of the following is considered a Gap patient? [Drag answer to blank bubble] (Word Bank, 0 points, 1 attempt permitted)

44 Correct A patient that has death information on file. Any transient patient. A patient that is not currently admitted to a facility but has no death information. A patient that was not properly discharged from a facility. Feedback when correct: That's right! A Gap patient is a patient that is not currently admitted to a facility but has no death information entered in their patient attributes. Feedback when incorrect: Sorry, that's not correct. A Gap patient is a patient that is not currently admitted to a facility but has no death information entered in their patient attributes.

45 39. What is the minimum number of treatments needed for a transient patient to be admitted to your facility in CROWNWeb? (Multiple, 0 points, 1 attempt permitted) Correct One Feedback when correct: That's right! Only one treatment is needed in order to admit a patient to your facility as a transient. Feedback when incorrect: Sorry, that's not correct. Only one treatment is needed in order to admit a patient to your facility as a transient.

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